Understanding and Addressing Menstrual Pain in Adolescents and Young Adults: An Examination of Help-Seeking and a Mindfulness-Based Intervention
Notice bibliographique
Résumé
Dysmenorrhea, defined as painful menstruation, impacts the majority of menstruating adolescents and can significantly impair wellbeing and daily functioning. Although prevalent, little is known about the experiences adolescents have seeking treatment for menstrual pain or their preferences for treatment. Accordingly, Study 1 addressed this gap by examining the retrospective experiences of Canadian young adults aged 18 to 25 who sought help from healthcare providers for menstrual pain during adolescence. Participants completed an online, mixed-methods survey about their help-seeking experiences, which were analyzed using descriptive statistics and reflexive thematic analysis. Findings (N = 590, Mage = 21.78 years) revealed that 41% sought treatment for menstrual pain during adolescence and of these 43% found the treatments they were offered ineffective. Three themes were generated related to why treatment was perceived as unsuitable: (1) Side effects and risks of pharmacological treatment, (2) treatment not tailored to the individual, and (3) treatment seen as a band-aid solution. Participants proposed improvements to treatment seeking which were reflected in four generated themes: (1) Go beyond contraceptives, (2) share and demonstrate expertise, (3) investigate menstrual pain, and (4) listen and do not dismiss. Notably, participants expressed interest in trying nonpharmacological interventions, including mindfulness-based interventions. In response to the need for more effective adolescent menstrual pain interventions, paired with the expressed interest in trying nonpharmacological interventions during adolescence, the feasibility, acceptability, satisfaction, and preliminary efficacy of a mindfulness-based intervention for adolescent menstrual pain was examined in Study 2. The initial aim was to recruit 14- to 18-year- olds with menstrual pain; however, due to challenges with recruitment the age criteria were expanded up to 19 years of age. Participants completed self-report measures (e.g., menstrual characteristics, dysmenorrhea symptom severity and interference, mindfulness skills) at baseline, postintervention, and at 3-month follow-up. Eight young adults completed the intervention across two separate groups (group 1, n = 4; group 2, n = 4). The intervention was feasibly implemented, and participants were highly satisfied secondary outcome measures from pre- to post-intervention were not statistically significant. Participants provided feedback to inform future iterations of the group. This intervention provided preliminary evidence that mindfulness approaches are feasible, acceptable, and satisfactory to among 17- to 19-year-olds with menstrual pain, with further research required to better understand these areas in younger adolescents. Collectively, these studies highlight a misalignment between current dysmenorrhea treatment approaches and the needs of adolescents, as well as broader pain management guidelines, highlighting the importance of psychosocial dimensions. This dissertation adds support to the existing view that reconceptualizing dysmenorrhea management through a biopsychosocial lens may address shortcomings in dysmenorrhea care and result in improved outcomes.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».